Physician
Piedmont Healthcare, P.A.
Piedmont Healthcare, P.A. was paid $34.07M by Medicaid between Jan 2018 and Dec 2024, across 196 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoPIEDMONT HEALTHCARE, P.A.
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1912999897assigned 08/17/2005
33bProvider typeDermatology Physician
28Total paid$34.07M
24GClaims1,524,601
24DCodes billed196
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in North Carolina
Rank by total paid#1 of 54
Median peer was paid$176K
This provider vs. median194×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 93,288 | $3.07M | |
| 2019 | 99,801 | $3.62M | |
| 2020 | 92,863 | $3.18M | |
| 2021 | 210,236 | $5.47M | |
| 2022 | 335,742 | $6.94M | |
| 2023 | 345,890 | $6.37M | |
| 2024incomplete | 346,781 | $5.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 33% | 186,892 | 146,862 | $11.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 126,042 | 101,977 | $6.46M |
| 99199 | Unlisted special service, procedure or report | 9.2% | 663,886 | 485,465 | $3.15M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 18,974 | 16,017 | $1.73M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 17,335 | 14,344 | $1.52M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 14,339 | 12,164 | $1.30M |
| 87428 | 2.5% | 16,333 | 11,343 | $849K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 26,839 | 22,886 | $778K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 39,888 | 33,826 | $768K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 6,476 | 5,360 | $647K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.8% | 3,789 | 2,247 | $620K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 4,664 | 3,521 | $466K |
184 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 5,374 | $433K |
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 4,871 | $348K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 9,721 | $337K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 9,343 | $288K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 25,383 | $255K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17,687 | $225K |
| 95117 | <1% | 28,437 | $218K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 1,628 | $207K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,921 | $195K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 4,944 | $169K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,691 | $167K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 11,068 | $150K |
| D1206 | Topical application of fluoride varnish | <1% | 9,728 | $148K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 2,385 | $98K |
| 90474 | <1% | 4,540 | $90K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,786 | $63K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,498 | $58K |
| 85027 | <1% | 7,411 | $54K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,695 | $49K |
| 36415 | Collection of venous blood by venipuncture | <1% | 26,555 | $49K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,413 | $48K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 885 | $46K |
| 96127 | <1% | 11,209 | $45K | |
| 80053 | Comprehensive metabolic panel | <1% | 7,824 | $45K |
| 64483 | <1% | 450 | $42K | |
| 95115 | <1% | 6,618 | $42K | |
| 80061 | Lipid panel | <1% | 4,421 | $40K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,133 | $39K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,768 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,189 | $34K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 381 | $34K |
| 81025 | <1% | 4,294 | $27K | |
| 94010 | <1% | 1,128 | $24K | |
| 95886 | <1% | 483 | $24K | |
| 87807 | <1% | 1,861 | $24K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 985 | $21K |
| 90651 | <1% | 783 | $20K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,880 | $18K |
| 99243 | <1% | 196 | $17K | |
| 99460 | <1% | 202 | $17K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 271 | $17K |
| 87081 | <1% | 2,652 | $17K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 778 | $16K |
| 69210 | <1% | 555 | $16K | |
| 84439 | <1% | 1,954 | $15K | |
| 90734 | <1% | 870 | $14K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,896 | $13K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 168 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 81 | $11K |
| 94060 | <1% | 611 | $11K | |
| 95816 | <1% | 133 | $11K | |
| 73630 | <1% | 594 | $11K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 28 | $10K |
| 81001 | <1% | 3,277 | $9K | |
| 92567 | <1% | 792 | $9K | |
| 95251 | <1% | 622 | $9K | |
| 95910 | <1% | 126 | $8K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 91 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 161 | $8K |
| 99051 | <1% | 324 | $8K | |
| 92551 | <1% | 32,538 | $7K | |
| 99242 | <1% | 112 | $7K | |
| 92557 | <1% | 299 | $7K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 497 | $7K |
| 92550 | <1% | 687 | $7K | |
| 59025 | Fetal non-stress test | <1% | 355 | $6K |
| 87430 | <1% | 533 | $6K | |
| 99307 | <1% | 733 | $6K | |
| 90686 | <1% | 4,281 | $5K | |
| 81003 | <1% | 2,569 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 318 | $5K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 143 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 208 | $5K |
| 73620 | <1% | 280 | $5K | |
| 94729 | <1% | 406 | $5K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,136 | $4K |
| 51798 | <1% | 709 | $4K | |
| 94726 | <1% | 353 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 212 | $4K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 33 | $4K |
| 93000 | <1% | 535 | $4K | |
| 80305 | <1% | 639 | $4K | |
| 96161 | <1% | 1,030 | $4K | |
| 17110 | <1% | 60 | $4K | |
| 99254 | <1% | 26 | $3K | |
| 99173 | <1% | 32,837 | $3K | |
| 82607 | <1% | 330 | $3K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 21 | $3K |
| 99383 | <1% | 28 | $3K | |
| 62323 | <1% | 85 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 54 | $3K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 296 | $3K |
| 76801 | <1% | 30 | $3K | |
| 96160 | <1% | 723 | $2K | |
| 90473 | <1% | 122 | $2K | |
| 82746 | <1% | 202 | $2K | |
| 20553 | <1% | 101 | $2K | |
| 84481 | <1% | 106 | $2K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 129 | $2K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 38 | $1K |
| 20610 | <1% | 89 | $1K | |
| 90715 | <1% | 327 | $1K | |
| 43235 | <1% | 33 | $1K | |
| 92588 | <1% | 27 | $1K | |
| 62321 | <1% | 17 | $1K | |
| 93922 | <1% | 44 | $1K | |
| 0002A | <1% | 20 | $1K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 37 | $1K |
| 99459 | <1% | 142 | $1K | |
| 93970 | <1% | 14 | $1K | |
| 86140 | <1% | 206 | $930.92 | |
| 82785 | <1% | 85 | $919.37 | |
| 82043 | <1% | 322 | $916.71 | |
| 0001A | <1% | 13 | $795.00 | |
| 87420 | <1% | 59 | $763.02 | |
| 82950 | <1% | 173 | $729.03 | |
| 99497 | <1% | 188 | $726.48 | |
| 85652 | <1% | 365 | $716.68 | |
| 64484 | <1% | 16 | $648.69 | |
| 80050 | General health panel | <1% | 77 | $626.00 |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 24 | $614.50 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 244 | $604.88 |
| 99406 | <1% | 137 | $602.95 | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 19 | $567.00 |
| 90672 | <1% | 238 | $555.52 | |
| 83735 | <1% | 105 | $532.90 | |
| 99407 | <1% | 50 | $526.82 | |
| 82784 | <1% | 36 | $490.77 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $486.92 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,189 | $464.69 |
| 99401 | <1% | 21 | $459.60 | |
| 82570 | <1% | 193 | $458.51 | |
| 36416 | <1% | 3,262 | $457.13 | |
| 90682 | <1% | 38 | $451.44 | |
| 99441 | <1% | 75 | $450.22 | |
| 82728 | <1% | 29 | $420.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 39 | $397.02 |
| 81002 | <1% | 298 | $384.02 | |
| 90633 | <1% | 3,722 | $367.37 | |
| 93015 | <1% | 23 | $346.81 | |
| 93248 | <1% | 19 | $311.79 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 27 | $311.05 |
| 99305 | <1% | 25 | $308.81 | |
| 91200 | <1% | 14 | $282.94 | |
| 83550 | <1% | 30 | $280.28 | |
| 93296 | <1% | 40 | $239.33 | |
| 43450 | <1% | 14 | $215.55 | |
| 83540 | <1% | 30 | $207.74 | |
| 90619 | <1% | 301 | $160.02 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $132.28 |
| 82044 | <1% | 69 | $88.25 | |
| 93244 | <1% | 13 | $76.23 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 13 | $49.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 50 | $33.57 |
| 85018 | <1% | 13 | $32.12 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 15 | $26.41 |
| 91307 | <1% | 16 | $10.76 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 18 | $2.64 |
| 90680 | <1% | 2,004 | $2.23 | |
| 90681 | <1% | 2,398 | $1.20 | |
| 99000 | <1% | 4,284 | $0.03 | |
| 90698 | 0% | 1,937 | $0.00 | |
| 90723 | 0% | 4,604 | $0.00 | |
| 90696 | 0% | 292 | $0.00 | |
| 90697 | 0% | 2,071 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 235 | $0.00 |
| 90677 | 0% | 1,481 | $0.00 | |
| 90647 | 0% | 2,291 | $0.00 | |
| 90656 | 0% | 275 | $0.00 | |
| 90716 | 0% | 109 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 234 | $0.00 |
| 90744 | 0% | 241 | $0.00 | |
| 90660 | 0% | 23 | $0.00 | |
| 90673 | 0% | 13 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 14 | $0.00 |
| 90381 | 0% | 12 | $0.00 | |
| 90670 | 0% | 11,289 | $0.00 | |
| 90685 | 0% | 293 | $0.00 | |
| 91300 | 0% | 57 | $0.00 | |
| 90710 | 0% | 334 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 168 | $0.00 |
| 90707 | 0% | 126 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 70 | $0.00 |
| 90662 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGUIN, GREG (CFO)
| Provider | Location | Paid |
|---|---|---|
| Piedmont Healthcare, PA | Statesville, NC | $162K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.